| NPI | 1528737871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH20389) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL PMH1781) |
| Enumeration Date | 2021-09-09 |
| Last Update Date | 2022-03-23 |